Individual
HEATHER M SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1970 N LAWNWOOD CIRCLE, FORT PIERCE, FL 34950
(772) 460-6467
Mailing address
7641 15TH ST, VERO BEACH, FL 32966-1226
(772) 299-1335
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT788
FL
174400000X
Specialist
SW1021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW1021
LICENSED CLINICAL SOCIAL
FL
Enumeration date
06/20/2006
Last updated
07/08/2007
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